| NPI | 1043615933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEEN M. MASUOKA Business Owner 916-966-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41279) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |